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Brookshire Nursing and Rehabilitation

Nursing Home Facility

710 Hwy 359 S, Brookshire, TX 77423

Nursing Home Care Senior Living
Brookshire Nursing and Rehabilitation

Brookshire Nursing and Rehabilitation is a senior care community located in Brookshire, TX. It provides nursing home care and senior living for older adults in the Brookshire area. To learn more or schedule a tour, call (281) 375-5272.

Operated by Harmony Care Group, which runs 6 communities in our directory.

With 130 beds, Brookshire Nursing and Rehabilitation is one of the larger communities in the area, senior care communities in Waller County average about 62 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 64% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in February 2026 and recorded 15 deficiencies.

Residents receive about 3.4 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 71%, which is high and can affect continuity of care.

The community is located in Waller County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 46 problems at Brookshire Nursing and Rehabilitation. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 24 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $25,797.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected June 2026, after a complaint. Corrected by June 23, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2026, after a complaint. Corrected by June 23, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected March 2026, after a complaint. Corrected by March 29, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected February 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected February 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected February 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected February 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected February 2026. Corrected by March 29, 2026.

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  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected February 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected February 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Inspected February 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected February 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Inspected February 2026. Corrected by March 29, 2026.

  • Could cause more than minimal harm, widespread Administration

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Inspected September 2025, after a complaint. Corrected by September 30, 2025.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Inspected September 2025, after a complaint. Corrected by September 30, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Brookshire Nursing and Rehabilitation offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 130
  • Occupancy 64%
  • Nursing hours per resident/day 3.4
  • Annual staff turnover 71%
  • Last health inspection February 2026

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